Palouse Health Center, P.S.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PALOUSE HEALTH CENTER, P.S.

Practice address

235 E Main Street
Palouse, WA 99161

Phone

(509) 878-8000

Fax

(509) 878-8008

NPI assigned

Jun 17, 2005

Last updated

Aug 24, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susanne Ute Fuhrman

Title

Office Manager

Phone

(509) 878-1263

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508861386. Details of each certification follow.

• CCN 503883 Rural health clinic · Active · Name & address match · Details

Rural health clinic certification: CCN 503883

Legal name

PALOUSE HEALTH CENTER

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Jan 21, 2003

Last certification

Feb 17, 2016

Ownership / control type

1B

Facility address

235 E Main Street
Palouse, WA 99161

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen P King, MD

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1144266727
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1508861386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 475",
            "city": "PALOUSE",
            "state": "WA",
            "postal_code": "991610475",
            "telephone_number": "509-878-8000",
            "fax_number": "509-878-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E MAIN STREET",
            "city": "PALOUSE",
            "state": "WA",
            "postal_code": "99161",
            "telephone_number": "509-878-8000",
            "fax_number": "509-878-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOUSE HEALTH CENTER, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "FUHRMAN",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_middle_name": "UTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-878-1263"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7116759",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807114900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridge Street Therapy
• Laura Rose Lambert, L.AC., E.A.M.P.
• Palouse Health Center, P.S.
• Palouse Physical Therapy
• Palouse School District
• Palouse Virtual Care, LLC
• Rebecca K Perkins, M.S. CCC-SLP
• Public Hospital District #1-a of Whitman County (Palouse Health Center)

• Rural Health Clinic/Center in Palouse, WA
• Providers in Palouse, WA by specialty
• Rural Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.